2038 Flint Lane - Inspection FormsResidential Sanitary Sewer Service
Compliance Inspection
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6"Transition:
A
Date 1 6 I Time / • p pm
Name ,i( - J 4/iiele- / Disk#
PID Number
House Number -0 Street Name
Alternative Mailing Address
.f. r
/ i ds
r `
Owner /Occupant Signature
For .'information: call 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Ser vice Lateral Inspection Findings Number of stacks
Roots 74
Poor Pipe joints
Mineral Deposits r �>
Sag /Pipe Deflection" -
Damaged Pipe /
Transition I AA , / /; . � O,v ks 'v' t/
White Copy: Pr opeity Owner
Yellow Copy: City of Eagan
Record Number
0
Time /
ne � 1� 74
J' ; Inspector Signature
if
Obstruction
Unable to push past
feet
Entered S.L.at . .:'r
Length of Service: - Final Cleanout: if
Notes ! ' r- - fsJ
giliowld ,N CT 'o q-
(egSrillaf erg 1/v
• /f 0 a
• ,�-' pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Pink Copy: SEH
Total
Nurnber'Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
.!
Roof drains
�f
��-
_
Residential Sanitary Sewer Service
Compliance Inspection
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6"Transition:
A
Date 1 6 I Time / • p pm
Name ,i( - J 4/iiele- / Disk#
PID Number
House Number -0 Street Name
Alternative Mailing Address
.f. r
/ i ds
r `
Owner /Occupant Signature
For .'information: call 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Ser vice Lateral Inspection Findings Number of stacks
Roots 74
Poor Pipe joints
Mineral Deposits r �>
Sag /Pipe Deflection" -
Damaged Pipe /
Transition I AA , / /; . � O,v ks 'v' t/
White Copy: Pr opeity Owner
Yellow Copy: City of Eagan
Record Number
0
Time /
ne � 1� 74
J' ; Inspector Signature
if
Obstruction
Unable to push past
feet
Entered S.L.at . .:'r
Length of Service: - Final Cleanout: if
Notes ! ' r- - fsJ
giliowld ,N CT 'o q-
(egSrillaf erg 1/v
• /f 0 a
• ,�-' pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Pink Copy: SEH
Residential Sanitary Sewer Service
Compliance Inspection
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6"Transition:
A
Date 1 6 I Time / • p pm
Name ,i( - J 4/iiele- / Disk#
PID Number
House Number -0 Street Name
Alternative Mailing Address
.f. r
/ i ds
r `
Owner /Occupant Signature
For .'information: call 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Ser vice Lateral Inspection Findings Number of stacks
Roots 74
Poor Pipe joints
Mineral Deposits r �>
Sag /Pipe Deflection" -
Damaged Pipe /
Transition I AA , / /; . � O,v ks 'v' t/
White Copy: Pr opeity Owner
Yellow Copy: City of Eagan
Record Number
0
Time /
ne � 1� 74
J' ; Inspector Signature
if
Obstruction
Unable to push past
feet
Entered S.L.at . .:'r
Length of Service: - Final Cleanout: if
Notes ! ' r- - fsJ
giliowld ,N CT 'o q-
(egSrillaf erg 1/v
• /f 0 a
• ,�-' pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Pink Copy: SEH
Total
Nurnber'Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
.!
Roof drains
�f
��-
_
Residential Sanitary Sewer Service
Compliance Inspection
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6"Transition:
A
Date 1 6 I Time / • p pm
Name ,i( - J 4/iiele- / Disk#
PID Number
House Number -0 Street Name
Alternative Mailing Address
.f. r
/ i ds
r `
Owner /Occupant Signature
For .'information: call 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Ser vice Lateral Inspection Findings Number of stacks
Roots 74
Poor Pipe joints
Mineral Deposits r �>
Sag /Pipe Deflection" -
Damaged Pipe /
Transition I AA , / /; . � O,v ks 'v' t/
White Copy: Pr opeity Owner
Yellow Copy: City of Eagan
Record Number
0
Time /
ne � 1� 74
J' ; Inspector Signature
if
Obstruction
Unable to push past
feet
Entered S.L.at . .:'r
Length of Service: - Final Cleanout: if
Notes ! ' r- - fsJ
giliowld ,N CT 'o q-
(egSrillaf erg 1/v
• /f 0 a
• ,�-' pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Pink Copy: SEH